E-Case 5

Lokmanya Tilak Medical college & General Hospital,

Sion, Mumbai.

HistoryA 30 yrs old male from Uttar Pradesh presented withBilateral inguinal lymphadenopathy since 3 months, Fever on & off since 1 month, Multiple nodular lesions over forehead, forearm & sole since 1 week. No h/o drug intake/insect bites /exposure. On examination: Right side inguinal lymph node measuring 2 x 1.5 cm & Left side measuring 1.5 x 1 cm, firm, non mobile ,non-tender.Nodular lesions over skin ranging from 1 to 2 cm diameter, non tender.No hepato-splenomegaly.

Received an excision biopsy of right side inguinal lymph node measuring 0.8 x 0.8 cm

10X

4 0 X

4 0 X

PAS: 40X M U C I C A R M I N : 4 0 X

A F B : 1 0 0 XG M S : 4 0 X

M o d i fi e d A F B : 1 0 0 X